Provider Demographics
NPI:1487808564
Name:HUGHES, ROSEMARIE (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 TWISTING DR
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-1825
Mailing Address - Country:US
Mailing Address - Phone:631-981-3112
Mailing Address - Fax:
Practice Address - Street 1:37 TWISTING DR
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-1825
Practice Address - Country:US
Practice Address - Phone:631-981-3112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010812235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist